腹腔镜下行结肠癌根治术疗效及其对胃肠功能影响.docVIP

腹腔镜下行结肠癌根治术疗效及其对胃肠功能影响 　　[摘要]目的 探讨腹腔镜下行结肠癌根治术的疗效及其对胃肠功能的影响。方法 选取2013年1月～2016年1月于我院行腹腔镜结肠癌根治术的32例患者作为观察组，另选择同期行开腹结肠癌手术的30例患者作为对照组。比较两组患者的术中出血量、术后肛门自动排气时间、开始进流质饮食时间及住院时间。比较两组患者术前术后胃动素（MTL）的变化情况及并发症发生情况。结果 观察组患者的术中出血量为（86.95±11.58）ml，少于对照组的（127.34±23.47）ml，观察组患者的术后肛门自动排气时间[（41.31±5.23）h]、开始进流质饮食时间[（53.97±11.76）h]及住院时间[（6.34±1.12）d]，均短于对照组[（68.56±11.17）h，（116.03±31.42）h，（10.32±2.37）d]，差异有统计学意义（P0.05）。观察组患者的术后MTL水平低于本组术前及对照组，差异有统计学意义（P0.05）。观察组患者的术后并?l症总发生率（9.4%）显著低于对照组（33.3%），差异有统计学意义（P0.05）。结论 腹腔镜下行结肠癌根治术疗效确切，利于促进患者胃肠功能的恢复。 　　[关键词]结肠癌根治术；腹腔镜；胃肠功能；并发症 　　[中图分类号] R735.35 [文献标识码] A [文章编号] 1674-4721（2017）12（b）-0053-03 　　[Abstract]Objective To investigate the curative effect of laparoscopic radical resection of colon cancer and its effect on gastrointestinal function.Methods From January 2013 to January 2016，a total of 32 patients with laparoscopic radical carcinoma of colon cancer were selected as the observation group，another 30 patients with colon cancer surgery were selected as the control group.The intraoperative blood loss，postoperative anal exhaust time，start into the liquid diet time and the time of hospitalization were compared between the two groups.The changes of gastric motilin （MTL） and complications were compared between the two groups.Results The intraoperative blood loss of patients in observation group was （86.95±11.58） ml，which was less than that in the control group [（127.34±23.47） ml]，patients in observation group with postoperative anal exhaust time [（41.31±5.23） h]，start into the liquid diet time [（53.97±11.76） h] and the time of hospitalization [（6.34±1.12） d] were both shorter than those in the control group [（68.56±11.17） h，（116.03±31.42） h，（10.32±2.37） d]，and the differences were statistically significant （P0.05）.The postoperative MTL level of the patients in the observation group was lower than that in the preoperative and control group，and the differences were statistically significant （P0.05）.The total incidence of postoperative complication